Be sure to complete this Contact Form within 48 hours of meeting with a mentee. You must have JavaScript enabled to use this form. Your First Name * Your Last Name * Your Email Address * Mentee's First Name * Mentee's Last Name * Contact Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202520262027 When did you meet with your mentee? 15 minutes 30 minutes 45 minutes 60 minutes If over 30 minutes, indicate duration here (required to contact your supervisor): Duration of Meeting If over 30 minutes, indicate duration here (required to contact your supervisor): Location * In-person E-mail Phone Online (text or video chat) Other... Type of Meeting Other... General guidance, encouragement, support Academic related (course progress, choosing a major, etc.) Adjustment to college life (e.g. homesickness, making friends, roomate issues, etc.) Success skills (e.g. time management, organization, study skills, etc.) Other... Topics Discussed Other... Select all that apply. Summary of Contact * List 3-5 bullet points summarizing your meeting and the progress made towards the mentee completing their goals. Be sure to include which resources you referred your mentee to, if any. Upload Here Files must be less than 2 MB.Allowed file types: gif jpg png pdf doc docx avi mov mp3 wav. Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. reCAPTCHA response
